KIMBERLY C MIREE (NPI# 1679982631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679982631 |
Entity Type | Individual |
Full Name | KIMBERLY C MIREE |
Credential | LMBT |
Practice Address |
201 S Mcpherson Church Rd Suite 228 Fayetteville NC 28303-4974 |
Mailing Address |
520 Murray Fork Dr Fayetteville NC 28314-0958 |
Practice Telephone | 9108498041 |
Mailing Telephone | 9108498041 |
Enumeration Date | 2014-08-04 |
Last Update Date | 2014-08-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 12973 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
201 S MCPHERSON CHURCH RD SUITE 228 |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28303-4974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730167669 | Barbara Jane Ciampa | Optometrist | 201 S Mcpherson Church Rd, Ste. 106, Fayetteville, NC 28303-4974 | 2005-12-30 |
1558603324 | Therapeutic Solutions Professional Counseling Group | Counselor | 201 S Mcpherson Church Rd, Suite 231, Fayetteville, NC 28303-4974 | 2013-03-20 |
1841541836 | Amazin'services Inc. | Home Health | 201 S Mcpherson Church Rd, Suite 211, Fayetteville, NC 28303-4974 | 2012-10-01 |
1639481849 | Bashir Hosseini | Dentist | 201 S Mcpherson Church Rd, Suite 102, Fayetteville, NC 28303-4974 | 2010-07-06 |
1952627382 | Daphne Fuller | Counselor | 201 S Mcpherson Church Rd, Suite 231, Fayetteville, NC 28303-4974 | 2010-04-09 |
1134442676 | Sara Irene Mccartney | Counselor | 201 S Mcpherson Church Rd, Suite 210, Fayetteville, NC 28303-4974 | 2010-03-11 |
1619169331 | Barbara J Ciampa Od Pa | Optometrist | 201 S Mcpherson Church Rd, Suite 106, Fayetteville, NC 28303-4974 | 2007-08-16 |
1215078860 | Barbara Lynn Whitley | Social Worker | 201 S Mcpherson Church Rd, Suite 214, Fayetteville, NC 28303-4974 | 2007-02-08 |
1669551834 | Daniel Lee Bondra | Dentist | 201 S Mcpherson Church Rd, Suite 102, Fayetteville, NC 28303 | 2006-11-06 |
1689622987 | Anne L. Sabo | Marriage & Family Therapist | 201 S Mcpherson Church Rd, Suite 231, Fayetteville, NC 28303-4974 | 2006-05-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
Find all providers in zip 28303 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356948855 | Danielle Kringlie | Massage Therapist | 921 Old Hunt Pl, Fayetteville, NC 28314-6073 | 2020-10-07 |
1871100222 | Christopher Calvin | Massage Therapist | 147 Banks Sta, Fayetteville, GA 30214-7504 | 2020-09-29 |
1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
1013529957 | Sonja Renee Gibson | Massage Therapist | 275 Glynn St S, Fayetteville, GA 30214-2015 | 2020-08-21 |
1194337345 | Natalie Spencer | Massage Therapist | 3037 Boone Trail Ext Ste G, Fayetteville, NC 28304-3859 | 2020-08-19 |
1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
1942834007 | Reds of Fayetteville, LLC | Massage Therapist | 1534 Purdue Dr, Fayetteville, NC 28303-5416 | 2020-02-27 |
1225662430 | Tracy Renfro | Massage Therapist | 3015 Kingfisher Dr, Fayetteville, NC 28306-9189 | 2020-02-26 |
1568011120 | Lacana N Tenn | Massage Therapist | 106 New Hope Rd, Fayetteville, GA 30214-1360 | 2019-09-06 |
1114589645 | Prima Elements, LLC | Massage Therapist | 124 Anderson St, Fayetteville, NC 28301-5014 | 2019-07-04 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28303 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.